Focusing-Oriented Art Therapy
Focusing-Oriented Art Therapy
Focusing-Oriented Art Therapy
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“Creative people have probably always used this method. What is really new…
is the specificity to describe the steps and teach them.
— Eugene T. Gendlin
healing ceremonies integrating decorative art with music and dance. Rhoda Kellogg (1967)
noted universal characteristics in children’s art cross culturally while Viktor Lowenfeld
(1957) observed children’s development expressed in predictable sequences in children’s
drawings.
Although Focusing and Art Therapy are different psychotherapeutic practices, they
are both intrinsically compatible, as each model very naturally accesses the felt sense — a
term coined by Gendlin to describe the experiential dimension that was discovered out of
research with Carl Rogers on what led to successful psychotherapy (Gendlin, 1981a). In
Focusing, the felt sense is accessed by bringing mindful attention along with a welcoming,
friendly, accepting inner stance, known as “the Focusing Attitude.” towards an inner experi-
ence, i.e. sensations arising in the body.
Similarly, during an Art Therapy session, the felt sense is essentially engaged through
the use of the body in artmaking. For example, the hand, arm, and torso are engaged while
painting, drawing, or sculpting. The felt sense also implicitly informs color and material
choice, the development of an image, and knowing when the art is completed. The “cross-
ing” of the felt sense in Focusing and Art Therapy contribute to a natural creative synthesis,
resulting in a comprehensive approach — Focusing-Oriented Art Therapy (FOAT). This
article includes a summary of the foundational principles of FOAT, basic steps for symbol-
izing a felt sense in art, and an overview with case examples of the three basic approaches,
namely, Clearing a Space with Art, Focusing-Oriented Art Psychotherapy, and Theme
Directed FOAT. Benefits of FOAT are also included.
ingly. For example, when working with clients who have experienced trauma or
have severe mental illness, it is advisable to begin with eyes open, and not encour-
age closing the eyes until safety and grounding is firmly established within the
client.
4. Grounding: It is helpful to see that clients can establish a safe connection
with their body — being aware of their breath coming in and out of their body;
body awareness, such as feet touching the floor, noticing where their hands are
resting, etc.
5. Reflection: The therapist demonstrates empathic understanding in response to
the client’s verbal, nonverbal, and artistic communication. Reflection can occur
through:
a. experiential listening, in which the therapist says back to the client the heart
and essence of their communication.
b. artistic mirroring, in which the therapist may reflect understanding through an
artistic reflection (e.g. drawing a shape, using a color, or creating an image).
c. movement mirroring, in which the therapist conveys understanding through
nonverbal body movement or gesture.
Handle/Symbol
as Image
ART
(word, phrase,
Felt Sense gesture or sound)
FOAT Approaches
Gendlin’s Focusing method is adapted to create three basic approaches in FOAT
(Note: FOAT is an umbrella term covering the three approaches below): Clearing a Space
with Art, Focusing-Oriented Art Psychotherapy, and Theme Directed FOAT. Clearing a
Space with Art helps clients to have an experiential knowing that there is a self, separate
from their issues, and that there is a place of inherent wholeness within. It is useful for
stress reduction, as well as an entry point to the other two approaches. Focusing-Oriented
Art Psychotherapy (more of an in-depth therapy) is primarily applied to individual and
couples’ therapy where the issues arise out of the client’s experiencing and the orientation
is toward insight. A Theme-Directed approach is primarily used with groups, in which top-
ics related to the groups needs, such as strengths, fears, hopes, life balance, and so forth are
explored.
Table 1 shows how Focusing-Oriented Art Therapy corresponds to Gendlin’s six-step
Focusing method (Gendlin, 1981a), followed by Basic Instructions for guiding FOAT.
4. Resonate Check handle against felt sense Check handle against felt sense
to see if it is right to see if it is right; Sense the right
art materials to match the felt
sense; Express handle/symbol
in art
Focusing-Oriented Art Therapy • 143
5. Ask Ask the felt sense questions: Ask the felt sense questions:
What makes it so______? What makes it so______?
What’s the crux of it? What’s the crux of it?
What would it be like if it were What would it be like if it were
all resolved? all resolved?
What’s in the way? What’s in the way?
What’s needed? What’s needed?
What’s a small step in the right What’s a small step in the right
direction? direction?
Dialogue with art:
What do you have to say to me?
What do you need?
Dialogue with different parts
Gestalt the art
Active imagination
Felt Sense of Art (word, phrase,
gesture, sound) into intermodal
transfer
Felt Sense: Take a moment to sense the whole issue freshly . . . notice
how it feels in your body. (Pause). Gently ask, “What’s the whole feel
of this?”
3. Finding a Handle/Symbol:
See if there’s an image (or word, phrase, gesture, or sound) that matches or
acts like a handle for the inner felt sense.
would look and feel like if this were all resolved? See if there’s an image
that matches or act like a handle for the inner felt sense of this issue all
resolved.
When you’re ready, ask:
• What’s in the way (between the issue and resolution)?
• What’s needed (to achieve this resolution)?
• What’s one small step in the right direction?
6. Receive:
Welcome whatever comes. Create an artistic expression that matches the col-
ors, shapes, or images that you received during the Focusing. Include what was
meaningful to you during the Focusing.
“In the image, I am blowing bubbles and watching them float away to a com-
fortable distance. Each bubble represents a different issue and concern. The
beach is painted with bright colors of turquoise, pink, orange, and yellow — it
is optimistic. I currently have the picture in my room, and when I am stressed
I find myself looking at it. Through the image I am able to connect to my ‘all
fine place’ and find solitude.”
Example: Sarah
Sarah is a 48 year old woman, a cancer survivor who came to see me for art therapy.
Her goals were to learn tools for stress reduction and re-prioritize what holds meaning to her
after facing a life threatening illness. Excerpts of dialogue are provided to demonstrate how
Focusing and art therapy are integrated with each other into the session.
1. Clearing a Space:
Imagine you are in a peaceful place. It may be a place you know or it may be one you
create in your imagination… When you’re ready, ask, “What’s in the way between me and
feeling all fine right now?” As each thing comes up, imagine placing it at some distance
from you… perhaps on a park bench… or on a boat that you can go a certain distance on a
lake… as each thing arises, place it at a comfortable distance from you.
Sarah: There’s friction with my partner… not exercising… the desire to have meaningful
work.
Therapist: (After I say back the issues): Imagine wrapping each one up in a package and
setting it at a comfortable distance away from you. Now check freshly… Aside
Focusing-Oriented Art Therapy • 147
from all of that, see if you are feeling “all fine”. (Sarah indicates “yes”. I invite her
to see if there’s a background feeling, an ‘always’ feeling, in the way):
Sarah: There’s the fear of a recurrence…
Therapist: See if you can be friendly to that fear… Can you imagine placing that at a dis-
tance from you with the others.
Sarah: Yes. (Sarah indicates that she has set all the things in the way of feeling “all fine”).
Therapist: See if there is a word, phrase, image, gesture, or sound that matches the felt
sense of the “all fine place”.
Sarah: In my center, I see a yellow radiant ball of light. Sarah creates the image
(Figure 3):
Figure 3
Accessing the ball of light helps Sarah connect with her life affirming energy. We can
stay with this step, Clearing a Space, or Sarah can move on if she would like to work on an
issue.
Therapist: Let your attention come down inside your body to the place of fear. See if you
can be friendly to it. Imagine sitting down next it… sense the whole feel of it… see if
there’s a word, phrase, image, gesture, or sound that matches the inner felt sense.
Figure 4
Sarah: The thin part is the tightness in my throat—where the fear lives.
4. Resonate:
(Pointing to the tight part in the art): This is the tightness in your throat where the fear lives.
Check to see if the image and art materials match the felt sense.
6. Receive:
Sarah: When I’m stressed, I get afraid the cancer will come back.
(Alternating Asking and Receiving)…
Therapist: You’re afraid the cancer will return when you are stressed. Can you ask it what
it needs?
Sarah: It says singing helps.
Therapist: Would it like to sing now or would it like to imagine singing?
Sarah: It says it would like to imagine singing.
Therapist: Imagine a time when you were singing. Notice what it feels like in your body to
sing. See if there’s an image, gesture, or sound that matches the inner felt sense…
Sarah begins with a green oil pastel drawing from the bottom of the page upward and
outward, with flowing open movements, adding yellow, red, purple, and blue (Figure 5).
Sarah: When I imagined singing, the energy just went up — there was a release.
Focusing-Oriented Art Therapy • 149
Figure 5
As I view the profound shift from the tight, restricted image of the first artistic expres-
sion to the open, flowing radiance of the second, Sarah’s words, “This is going to save my
life” reverberates throughout me. How powerful to be able to transform the energy and emo-
tional state of fear to self-empowerment and hopeful possibility.
Therapist: If you’d like, you can take your art and put it in a place you see everyday. The
yellow ball of light can remind you of the place inside that is separate from all the
stressors—your inner radiance. The drawing can remind you of the ‘healing feel-
ing’ and to sing, or imagine singing to reduce the fear and stress.
Four years have passed since this session; Sarah is living well, cancer free, and is a
proud new mom!
Theme-Directed FOAT
In Theme Directed FOAT, specific themes are selected to coordinate with the needs
of a group or client. Instead of an issue arising from choosing something that was ‘set aside’
during Clearing A Space, a topic is chosen on which to Focus. This approach is useful for
group work where the entire group can be led through a group Focusing at once. Focusing
instructions can be amended to fit the needs of the clinical population (e.g. not closing eyes,
helping the directions to be more concrete, etc.). Theme Directed groups can vary from one
session to a specified number of weeks.
150 • The Folio • 2008
4 and 5 Clearing a Space for Stress Reduction Learn the first step of Focusing: stress
reduction and wellbeing
6 and 7 Focusing Steps: Choosing an Issue to Learn how to work on an issue and iden-
Work On tify steps towards change—felt sense art.
The group followed a similar overall format each week in which both Focusing and
art therapy were implemented:
• Check-in
• Focusing Stress Check-in: identify tension in the body/symbolize as an image
• Draw felt sense image of stress
• Stress reduction exercise
• Focusing: identify tension in the body/symbolize as an image
• Drawing what the felt sense now
• Sharing
After introducing the group members to each other and stating the purpose of the
group, the therapist led the group in a Focusing-Check-in to notice the places of stress and
tension in the body, to get a felt sense as an image, and to express it in art. Afterwards, the
therapist guided the group in the “Peaceful Place” exercise, followed by Focusing to get a
felt sense as an image, and then to symbolize it in art.
Focusing-Oriented Art Therapy • 151
Figure 6: Lisa, Felt Sense, Stress Figure 7: Lisa, Peaceful Place
After imagining the issue resolved, Lisa’s felt-sense image is transformed into a soft,
strong yellow flower with a smooth, figure eight shape around it (Figure 7). Lisa shares, “I
felt the tension in my stomach relax and change to peace.”
152 • The Folio • 2008
Conclusion
In sum, the benefits of FOAT are as follows:
• Art externalizes, concretizes, and symbolizes a felt sense.
• The physical act of drawing helps the felt sense to open and move, thus bringing about
a felt shift—enhancing the Life Forward Direction.
• The art product enables both the client (Focuser) and therapist to see the same image
that symbolizes the felt sense.
• The visual art is a mirror of where the felt sense began, where the felt shifts occurred,
and where it ended in the session.
• The art product can serve as a tangible reference point to review — to see growth and
change (felt shifts).
• The client can take the art product with them as a reminder to integrate the experience
into life.
Focusing-Oriented Art Therapy • 153
The many benefits experienced by clients demonstrate that Focusing and Art Therapy
enhance one another. Art Therapy brings to Focusing an array of methods, tools, and mate-
rials, as well as an in-depth understanding of the healing power of imagery to give visual
expression to the felt sense. Art Therapy also provides Focusing with a nonverbal modality
to capture aspects of the felt sense beyond words, or before words. From the other direction,
Focusing offers Art Therapy some awareness of the bodily felt experience and provides
depth for working psychotherapeutically with concepts such as “the person in there”, pres-
ence, experiential listening, the therapeutic relationship, and the experiential dimension.
Note: This article includes excerpts from Laury Rappaport’s newly published book,
Focusing-oriented art therapy: Accessing the body’s wisdom and creative intelligence,
2008, reprinted with permission from Jessica Kinglsey Publishers.
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